Welcome to the SRBC library of forms and applications. To download a document, simply click on the desired one below. If you are unsure which form or application you need, please call SRBC at 717-238-0425.

All forms and applications are in Adobe Acrobat Portable Document Format (PDF). If the documents are not viewable with your browser, click the button to download a free copy of Adobe Acrobat Reader.

(Acrobat and the Acrobat logo are trademarks of Adobe Systems Incorporated.)

Reporting Forms are now available in Microsoft Excel format. To download a form as an Excel spreadsheet, simply click on the link next to the form you wish to download.

Monitoring Report and Consumptive Water Use Payment Schedule

Project Information (72) (.pdf)
Project Information (72) (Word)

Public Water Supply Information (24P) (.pdf)

Certification of Notification of the Filing of a Project Application (55) (.pdf)

Project Applicant Letter of Information and Sample Notice of Application (.pdf)

Groundwater Withdrawal Instructions and Applications

Groundwater Withdrawal Instructions and Application (24G) (Word)
Groundwater Withdrawal Instructions and Application (24G)(.pdf)

Groundwater Reporting Forms

Daily Groundwater Reporting Form (30D)(.pdf)
Daily Groundwater Reporting Form in MS-Excel format

Daily Groundwater Summary Form in MS-Excel format

Weekly Groundwater Reporting Form (30W) (.pdf)
Weekly Groundwater Reporting Form in MS-Excel format
Weekly Groundwater Summary Form in MS-Excel format

Chemical Analysis List (24A) (.pdf)

Surface Water Withdrawal Instructions and Application

Surface Water Withdrawal Instructions and Application (24S) (Word)
Surface Water Withdrawal Instructions and Application (24S) (.pdf)

Surface Water Reporting Forms

Surface Water Reporting Form (58) (.pdf)
Surface Water Reporting Form in MS-Excel format
Surface Water Summary Reporting Form in MS-Excel format

Consumptive Water Use Instructions and Applications

Consumptive Water Use Instructions and Application (24C) (Word)
Consumptive Water Use Instructions and Application (24C) (.pdf)
Consumptive Water Use Application -- Golf Course Supplemental Information (24C) (.pdf)
Consumptive Water Use Application -- Golf Course Supplemental Information (24C) (Word)

Consumptive Water Use Reporting Forms

Consumptive Water Use Reporting Form (24R) (.pdf)
Consumptive Water Use
Reporting Form in MS-Excel format

Approval Transfer Forms

Notice of Request for Transfer (.pdf)
Facility Information (.pdf)
18 CFR Section 806.6 – Transfer of Approvals (.pdf)

Project Fee Schedule

Project Fee Schedule (PDF)* Effective January 1, 2008. This schedule was adopted by the commissioners on December 5, 2007.


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